Need help with a Mastectomy case scenario

[spn.charlotte]

I have a skills package and I need to make a care plan for a 48 yr old who had stage 3 breast cancer. She just had a radical mastectomy. She has 16 staples with 2 sutures holding the drain in place. She also has a portacath in upper left chest. Shes also a half pack a day smoker. Thank-you!!

[nurseprnRN, BSN, RN]

what's a skills package?

[Mike R, ADN, BSN, RN]

And how can we specifically help you?

[spn.charlotte]

The skills package is for skills testing. We get case scenarios and we have to have pathos, care plans and plan of care. I'm stuck on the mastectomy.. I know two diagnosis that will good for her: Acute pain r/t surgical incision AEB mastectomy and Risk for infection r/t surgical incision AEB mastectomy. I need to have 4, I'm stuck on having two more.

[spn.charlotte]

Ineffective Peripheral Tissue Perfusion, Risk for Fluid Volume Deficit.. would those be good relating to her mastectomy?

[AugustRain]

Have you given any thought to a nursing diagnosis that would address the psychosocial aspects of her care?

[spn.charlotte]

disturbed body image? would that be a good one?

[AugustRain]

Yes, that's a good one.

Also think about the whole picture, not just the surgical wounds - cancer, smoking (how does it affect healing, etc?), family, sexuality, teaching points...